摘要
目的:研究胸腔镜下精准定位复位内固定术对胸外伤伴肋骨骨折治疗的效果。方法:回顾性分析2022年3月—2024年7月成武县人民医院收治的85例胸外伤伴肋骨骨折患者资料,按照手术方法不同将其分为对照组(n=40)和研究组(n=45)。对照组采用常规剖胸内固定手术治疗;研究组采用胸腔镜下精准定位复位内固定术治疗。两组术后均持续观察7 d。对比两组临床指标、疼痛程度、肺功能、并发症发生情况。结果:研究组住院时间、疼痛缓解时间、术后首次下床活动时间均短于对照组,术中出血量、胸腔引流量均少于对照组,差异均有统计学意义(P<0.05)。术后5 d,研究组视觉模拟法评分低于对照组,差异有统计学意义(P<0.05)。术后5 d,研究组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC均高于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.22%,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论:胸腔镜下精准定位复位内固定术治疗胸外伤伴肋骨骨折有利于加快患者术后康复,减轻疼痛、提高肺功能并且降低并发症发生率。
Objective:To analysis of the effect of thoracoscopic precise positioning reduction and internal fixation in patients with thoracic trauma and rib fracture.Methods:A retrospective analysis was conducted on the data of 85 patients with thoracic trauma and rib fracture admitted to Chengwu County People’s Hospital from March 2022 to July 2024.They were divided into a control group(n=40)and a study group(n=45)according to the different surgical methods.The control group was treated with thoracotomy and internal fixation surgery,while the study group was treated with thoracoscopic precise positioning reduction and internal fixation.Both groups were observed for 7 days after surgery.The clinical indicators,pain level,lung function,and occurrence of complication were compared between the two groups.Results:The hospital stay,pain relief time and first time of getting out of bed in the study group were shorter than those in the control group,and the intraoperative blood loss and chest drainage volume were less than those in the control group,the difference were statistically significant(P<0.05).On the 5th day after surgery,the Visual Analogue Score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).On the 5th day after surgery,the forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the study group were higher than those in the control group,the difference were statistically significant(P<0.05).The incidence of complication in the study group was 2.22%,which was lower than 17.50%in the control group,the difference was statistically significant(P<0.05).Conclusion:The treatment of thoracic trauma with rib fracture is beneficial to speed up postoperative recovery,reduce pain,improve lung function and reduce the incidence of complication.
作者
于杨
张秋健
侯光谱
袁继宝
刘占
YU Yang;ZHANG Qiujian;HOU Guangpu;YUAN Jibao;LIU Zhan(Department of Cardiothoracic Surgery,Chengwu County People’s Hospital,Heze 274000,China)
出处
《中国伤残医学》
2025年第9期37-40,45,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
胸外伤
肋骨骨折
胸腔镜
精准定位
内固定术
Chest Trauma
Rib Fracture
Thoracoscopy
Accurate Positioning
Internal Fixation Surgery
